Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Charles Childress, DC

Individual provider Chiropractor · NPI 1083726632

Dr. Mark Charles Childress, DC is a Chiropractic in Overland Park, Kansas. Graduated from Cleveland Chiropractic College - Kansas City in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
21
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

11960 W 119th St
Overland Park, KS 66213-2216
Phone: (913) 744-2973
Fax: (913) 245-9259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4944 (KS)
Chiropractor Taxonomy 111N00000X · Licence 2006012360 (MO)

Record details

NPI number1083726632
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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